Frequency of Genu Valgum and Genu Varum among the University Students and their Association with Gender and BMI
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Abstract
Background: Knee angular deformities such as genu varum and genu valgum are common conditions that can lead to further complications and affect an individual's quality of life. Factors like gender, body mass index (BMI), lifestyle, and nutritional status are thought to influence the development of these conditions.
Objective: The primary aim of the study was to investigate the relationship between gender and BMI with the prevalence of genu varum and genu valgum among university students.
Methods: A cross-sectional survey was conducted over six months, from February to July 2021, involving 140 university students aged between 18 and 25 years, who were independent in activities of daily living (ADLs). Subjects with neurological, psychological, congenital disorders, or systemic pathologies were excluded. BMI was calculated using a height-weight machine. Knee alignment was assessed using a goniometer to measure the Q-angle at both the left and right knees. Data analysis was performed using IBM SPSS Statistics version 25.
Results: The prevalence of genu varum was higher in males (23 cases) compared to females (7 cases), while genu valgum was more common in females (24 cases) than in males (5 cases). No significant difference in the incidence of genu varum and genu valgum was noted with BMI for the left knee (p=0.422), but a significant association was found for the right knee (p=0.049). Gender was significantly associated with knee angular deformities, with p-values of less than 0.0001 for both knees.
Conclusion: The study underscores a significant association of knee angular deformities with gender, and a lateral-specific correlation of BMI with the Q-angle of the right knee. These insights are crucial for developing gender-specific and BMI-inclusive strategies for the prevention and management of genu varum and genu valgum.
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References
Inoue Y, Qin B, Poti J, Sokol R, Gordon-Larsen P. Epidemiology of obesity in adults: latest trends. Current obesity reports. 2018;7(4):276-88.
Soheilipour F, Pazouki A, Mazaherinezhad A, Yagoubzadeh K, Dadgostar H, Rouhani F. The prevalence of genu varum and genu valgum in overweight and obese patients: assessing the relationship between body mass index and knee angular deformities. Acta Bio Medica: Atenei Parmensis. 2020;91(4).
Mozafaripour E, Rajabi R, Minoonejad H. Anatomical Alignment of Lower Extremity in Subjects With Genu Valgum and Genu Varum Deformities. Physical Treatments-Specific Physical Therapy Journal. 2018;8(1):27-36.
Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines: Elsevier Health Sciences; 2010.
Levangie PK, Norkin CC. Joint structure and function: a comprehensive analysis: FA Davis; 2011.
Yang NH, Nayeb‐Hashemi H, Canavan PK, Vaziri A. Effect of frontal plane tibiofemoral angle on the stress and strain at the knee cartilage during the stance phase of gait. Journal of Orthopaedic Research. 2010;28(12):1539-47.
Ganeb SS, Egaila SE-S, Younis AA, El-Aziz AMA, Hashaad NI. Prevalence of lower limb deformities among primary school students. Egyptian Rheumatology and Rehabilitation. 2021;48(1):1-7.
Shapouri J, Aghaali M, Aghaei M, Iranikhah A, Ahmadi R, Hovsepian S. Prevalence of lower extremities’ postural deformities in overweight and normal weight school children. Iranian Journal of Pediatrics. 2019;29(5).
Hardgrib N, Gottliebsen M, Rahbek O, Hellfritzsch MB, Møller-Madsen B. Correlation of radiological and clinical measurement of genu valgum in children. Danish Medical Journal. 2018;65(5):A5479.
Nandanwar R, Uttamchandani S, Deshmukh M, Chitale N. Physiotherapy rehabilitation in patient with bow leg deformity.
Qin S, Zheng X, Jiao S, Wang Y, Zang J, Pan Q, et al. Genu varum, genu valgum, and osteoarthritis of knee. Lower Limb Deformities: Springer; 2020. p. 571-624.
Khasawneh RR, Almahasneh FA, Abu-El Rub E, KHASAWNEH R, ALMAHASNEH F, ABU-EL RUB E. Assessing the Racial Differences in Q Angle Measurements in Relevance to Articular Cartilage of the Femoral Condyle: A Retrospective Ultrasound Study. Int J Morphol. 2021;39(6):1776-81.
Shohat N, Machluf Y, Farkash R, Finestone AS, Chaiter Y. Clinical knee alignment among adolescents and association with body mass index: A large prevalence study. The Israel Medical Association journal: IMAJ. 2018;20(2):75-9.
Karimi-Mobarake M, Kashefipour A, Yousfnejad Z. The prevalence of genu varum and genu valgum in primary school children in Iran 2003-2004. Journal of Medical Sciences. 2005;5(1):52-4.
Bafor A, Omota B, Ogbemudia AO. Correlation between clinical tibiofemoral angle and body mass index in normal Nigerian children. International orthopaedics. 2012;36(6):1247-53.
Nia FR, Daneshmandi H, Irandoust K. Prevalence of genu valgum in obese and underweight girls. World J Sport Sci. 2008;1(1):27-31.
Ashraf S, Viveiros R, França C, Ornelas RT, Rodrigues A. Association between Body Composition, Physical Activity Profile, and Occurrence of Knee and Foot Postural Alterations among Young Healthy Adults. Future. 2024;2(1):16-29.
Morales-Avalos R, Masferrer-Pino Á, Padilla-Medina JR, Amestoy-Ramos J, Ibáñez M, Perelli S, et al. Mid-Term Clinical and Radiological Outcomes of Lateral Meniscal Allograft Transplantation with Suture-Only Fixation Plus Capsulodesis. The Journal of Knee Surgery. 2024;37(01):026-36.
Bolton S-A, Neyret P, Espregueira-Mendes J, Parker D. Knee Injury: Sideline Management. Sideline Management in Sports: Springer; 2024. p. 135-50.
Chandran A, Premkumar M, Menezes CR. Association between genu recurvatum and gluteus maximus muscle strength in college students-Case control study. Journal of Orthopaedic Reports. 2024;3(1):100229.
Hamid N, Faisal S, Safdar N, Asim HM. Frequency of Tibia Vara among Obese Adolescents: Descriptive Cross-Sectional Study. Pakistan Journal of Rehabilitation. 2024;13(1):130-7.
Paquin A. Outpatient Rehabilitation for a 45-Year-Old Female With Unilateral Knee Osteoarthritis: California State University, Sacramento; 2024.